NPIMap

Organization Active NPI

Kyle M. Crofoot, M.D., P.a.

  • Medical Specialty Clinic/Center
  • Orlando, FL
National Provider Identifier
1679729271
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME43757 Issued in FL
Legal business name
KYLE M. CROFOOT, M.D., P.A.
Practice address
1400 Hillcrest St
Orlando, FL 32803-4709
Phone
(407) 894-4330
Fax
(407) 894-4340
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle M. Crofoot, M.D.NPI 1902823941
Title
Owner
Phone
(407) 894-4330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME43757 FL Primary

Addresses

Primary practice location

1400 Hillcrest St
Orlando, FL 32803-4709

Mailing address

1400 Hillcrest St
Orlando, FL 32803-4709
Phone (407) 894-4330

National Provider Directory

National Provider Directory

Locations

1400 Hillcrest St
Orlando, FL 32803
Phone (407) 894-4330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1679729271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034709",
            "telephone_number": "407-894-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034709",
            "telephone_number": "407-894-4330",
            "fax_number": "407-894-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE M. CROFOOT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "CROFOOT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-894-4330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME43757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.